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Protein / target

Fibroblast growth factor 23

Encoded byFGF23Q9GZV9Homo sapiensSwiss-Prot
Clinically validated
Therapeutic maturity
1
Approved medicines
Open Targets target-level
View by indication →
14
Clinical trials
Small-molecule tractable
Druggability
Structure with Ligand

Protein at a glance

Biological role

Type 1 fibroblast growth factor receptor binding

Strongest disease association

Neoplasms

Via encoding gene FGF23 · Pathway evidence · score 0.61

Therapeutic position

Established drug target

Antibodies

Derived from structured UniProt, Open Targets and literature data on this page.

Protein profile

UniProt 2026_02

Canonical identity and biological annotation from UniProt.

Function overview

Regulator of phosphate homeostasis.

View complete UniProt function annotation

Regulator of phosphate homeostasis (PubMed:11062477). Inhibits renal tubular phosphate transport by reducing SLC34A1 levels (PubMed:11409890). Up-regulates EGR1 expression in the presence of KL (By similarity). Acts directly on the parathyroid to decrease PTH secretion (By similarity). Regulator of vitamin-D metabolism (PubMed:15040831). Negatively regulates osteoblast differentiation and matrix mineralization (PubMed:18282132)

Subcellular location

Secreted
Domains and Gene Ontology detail (28)

Gene Ontology

  • Ccytoplasm
  • Cendoplasmic reticulum lumen
  • Cextracellular region
  • Cextracellular space
  • CGolgi lumen
  • Fgrowth factor activity
  • Ftype 1 fibroblast growth factor receptor binding
  • Pcalcium ion homeostasis
  • Pcellular response to interleukin-6
  • Pcellular response to leptin stimulus
  • Pcellular response to parathyroid hormone stimulus
  • Pcellular response to vitamin D

251 aa · 28 kDa

Biological roles

What this protein does, drawn together from its UniProt function, Gene Ontology terms and Reactome pathways.

Growth-factor signallingGOCell proliferation & survivalGOCell migrationGO
View supporting evidence

Growth-factor signalling

  • ·type 1 fibroblast growth factor receptor binding
  • ·fibroblast growth factor receptor signaling pathway

Cell proliferation & survival

  • ·positive regulation of cell population proliferation

Cell migration

  • ·regulation of cell migration

Concepts derived from UniProt GO Reactome — each badge above shows which sources supported that role.

Approved medicines with mapped indications

1 medicine · 2 areas

Approved therapies targeting this protein, grouped by what they are approved to treat — the disease-first view of the medicines below. Relationships come from the canonical approved-indication graph (ChEMBL phase-4), the same source as the drug cards.

Bone Diseases1 medicine
Hypophosphatemia1 medicine

Approved indications from ChEMBL (phase-4), via the canonical drug→disease graph.

Drugs targeting this protein

1

How approved and investigational drugs engage this protein — mechanism and action type, direct vs complex targeting, and how broadly each acts across other targets. A drug-first view (the section above groups the approved ones disease-first); direct binders with few recorded targets are listed first.

burosumab
Narrow target profileApprovedInhibitor

Fibroblast growth factor 23 inhibitor

Indicated for Bone Diseases, Hypophosphatemia

Direct interaction with this protein · Only this protein recorded as a target

ChEMBL mechanism, action type, target identity and approved indications. Open Targets clinical status.

Translational evidence

Open Targets 26

Why this target matters therapeutically, strongest evidence first. Disease associations are gene-level (via the gene that encodes this protein) and open into the full confidence synthesis; the development universe, tractability and safety annotations are target-level, from Open Targets.

Strongest disease associations · via encoding gene FGF23

Gene-level evidence surfaced through the gene FGF23that encodes this protein — not a direct protein–disease relationship. Ranked by Forefront's causal-directness weighting, so genetically- and clinically-evidenced diseases lead over ones that merely share the literature.

Hypophosphatemia
0.66Moderately supported

Clinical evidence dominant · Open Targets 0.52

Neoplasms
0.43Preliminary

Pathway evidence dominant · Open Targets 0.61 · no direct causal or clinical evidence

Bone development disease
0.39Preliminary

Pathway evidence dominant · Open Targets 0.60 · no direct causal or clinical evidence

View evidence synthesis (3)
HypophosphatemiaModerately supported
0.66
agreement 0.510.82
Clinical82%Literature18%

Open Targets aggregate 0.52 · 2 independent evidence families

NeoplasmsPreliminary
0.43
agreement 0.260.61
Pathway86%Literature14%

Open Targets aggregate 0.61 · 2 independent evidence families · no direct causal or clinical evidence

Bone development diseasePreliminary
0.39
agreement 0.160.62
Pathway100%

Open Targets aggregate 0.60 · 1 independent evidence family · no direct causal or clinical evidence

This ranking differs from Open Targets' own: re-weighting moves genetically-evidenced diseases above more heavily co-mentioned ones. The evidence agreement range shows how closely the independent evidence families agree — it is not a statistical confidence interval, and nothing here is fitted to outcome data. Derived from Open Targets evidence types under Forefront weighting; the per-type scores above show the calculation.

Show all associations
Neoplasms0.61
Bone development disease0.60
Hypophosphatemia0.52

Drug development

1 compounds recorded · 1 approved

Open Targets' development universe — every compound recorded against the target at any stage, not all approved medicines. Distinct from the 1 drug that targets this protein in Forefront's canonical graph (1 with a mapped approved indication, shown above): these count different sets and are not a subset relation.

View all recorded compounds (1)
BUROSUMABApproval

Open Targets known-drugs universe. Drug name and highest clinical stage only — the disease relationship is NOT read from this slice (it carries trial-context noise); approved indications come from the canonical graph above.

Tractability

Small moleculesEmerging

Feasibility evidence (structure with ligand and high-quality ligand) — no clinical-stage drug of this modality recorded.

AntibodiesStrong

Approved Drug and UniProt loc high conf support this modality.

Protein degradersEmerging

Feasibility evidence (small molecule binder) — no clinical-stage drug of this modality recorded.

View underlying tractability evidence (7)
SM · Structure with LigandSM · High-Quality LigandAB · Approved DrugAB · UniProt loc high confAB · GO CC high confAB · UniProt SigP or TMHMMPR · Small Molecule Binder

Raw Open Targets tractability assessment buckets, by modality.

Clinical trials

14

Trials of drugs that target this protein — reached indirectly through those drugs, so a trial listed here studies the drug, not the protein. Ranked by active status, then clinical phase and recency, and spread across the targeting drugs.

View all trials (10)

ClinicalTrials.gov via the drug-target graph.

What's happening now

3

Recent therapeutic activity around this target — regulatory actions, clinical trials and safety signals for a drug that targets this protein, plus publications where such a drug is a genuine subject. Every item is reached indirectly through the drug, not the protein itself; incidental mentions (a paper that merely measures a drug) and press items are excluded.

  1. New publication2019-06-04
    Continued Beneficial Effects of Burosumab in Adults with X-Linked Hypophosphatemia: Results from a 24-Week Treatment Continuation Period After a 24-Week Double-Blind Placebo-Controlled Period.

    Calcified tissue international · 2019 · 109 citations · Europe PMC · via burosumab

  2. New publication2018-06-26
    A Randomized, Double-Blind, Placebo-Controlled, Phase 3 Trial Evaluating the Efficacy of Burosumab, an Anti-FGF23 Antibody, in Adults With X-Linked Hypophosphatemia: Week 24 Primary Analysis.

    Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2018 · 230 citations · Europe PMC · via burosumab

  3. Regulatory approval2018-02-19

    Approval: Crysvita (EMA)

    ema · regulatory · ema · via burosumab

Objective event titles are shown unmodified; the event kind and significance line are derived from structured fields. Forefront AttentionEvent stream aggregating Europe PMC Regulatory filings ClinicalTrials.gov.